KAYLA JACKSON (NPI# 1477085140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477085140 |
| Entity Type | Individual |
| Full Name | KAYLA JACKSON |
| Practice Address |
801 E Chapman Ave #203 Fullerton CA 92831-3839 |
| Mailing Address |
Po Box 919 Fullerton CA 92836-0919 |
| Practice Telephone | 7146809000 |
| Mailing Telephone | 7146809000 |
| Mailing Fax Number | 7146808233 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013436831 | Kayla Michelle Jackson | Social Worker | 1099 North Meridian Street, Suite 900, Indianapolis, IN 46204 | 2017-09-13 |
| 1811443948 | Kayla Jackson | Specialist/Technologist | 1245 Steve Dr, Akron, OH 44319-2637 | 2016-08-29 |
| 1134518392 | Kayla Lynn Jackson | Private Vehicle | 10965 West State Route 29, Rosewood, OH 43070 | 2015-01-12 |
| 1649428350 | Kayla Bell Jackson | Occupational Therapist | 1041 N Highway 41, Foreman, AR 71836-8413 | 2008-09-05 |
| 1679186118 | Kayla Megan Jackson | Behavior Technician | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2020-08-25 |
| 1740800788 | Kayla Brockwell Jackson | Nurse Practitioner | 1850 State St, New Albany, IN 47150-4990 | 2020-04-20 |
| 1811545718 | Kayla Woodruff Jackson | Nurse Practitioner | 488 Saint Lukes Dr, Montgomery, AL 36117-7104 | 2019-09-04 |
| 1215585179 | Kayla Jackson | Social Worker | 4801 Frankford Rd Ste 300, Dallas, TX 75287-5329 | 2019-09-03 |
| 1811464605 | Kayla Jackson | Speech-Language Pathologist | 212 Thompson Poynter Rd, London, KY 40741-7238 | 2018-10-30 |
| 1548761265 | Kayla M Jackson | Art Therapist | 46 Prince St, Rochester, NY 14607-1023 | 2018-02-27 |
| Street Address |
801 E CHAPMAN AVE #203 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976864 | Millea Jewel Betts | Rehabilitation Practitioner | 801 E Chapman Ave # Sut203, Fullerton, CA 92831-3839 | 2020-03-04 |
| 1003279787 | Marvin Mendiola | Rehabilitation Practitioner | Crittenton Services 801 E. Chapman Avenue, Fullerton, CA 92831-3839 | 2016-03-31 |
| 1568884880 | Cynthia Marie Alvarado | Rehabilitation Practitioner | 801 E Chapman Ave., #203, Fullerton, CA 92831-3839 | 2014-01-07 |
| 1558707836 | Jorge Chavez Jr. | Rehabilitation Practitioner | 801 E. Chapman Ave., #203, Fullerton, CA 92831-3839 | 2013-05-14 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1265733992 | Faith Ellen Fortuno | Rehabilitation Practitioner | 801 East Chapman # 203, Fullerton, CA 92831-3839 | 2010-11-11 |
| 1891952214 | Deborah Gaffney | Rehabilitation Practitioner | 100 E Valley View, Fullerton, CA 92832 | 2008-05-22 |
| 1760684468 | Marcelene Mcclendon | Rehabilitation Practitioner | 801 East Chapman Ave, Florence Crittenton Services of Orange County, Inc., Fullerton, CA 92831-3839 | 2007-06-04 |
| 1366058489 | Juan Islas | Rehabilitation Practitioner | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-09-23 |
| 1750991816 | Yvette Bautista Suarez | Rehabilitation Practitioner | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-08-04 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.